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Integumentary Care > Week 2 Wound Dressings > Flashcards

Week 2 Wound Dressings Flashcards

1
Q

what is the purpose of a dressing

A

to provide the optimal environment of moisture, warmth, protection, odor, topical and pain. and one that changes with drainage response, temperature and bioburden

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2
Q

are dressings static or not? what does this mean

A

not, because they are applied in response to how the wound is changing

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3
Q

how often to we re-eval dressings

A

every visit

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4
Q

what are some considerations when choosing a wound dressing

A 
educate (type and amount)
bioburden 
tissue type (granular, tendon, non-viable)
location, size depth 
peri-wound 
etiology and history 
allergies 
patient confort 
supplies and cost and schedule 
goals 
common sense
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5
Q

when might you need to change a dressing

A 
when it is saturated, and there is strike through 
to keep a moist environment 
timeline for topical 
becomes soiled, contaminated or wet
disrupted
loose or falls 
doctors appointment 
bathing 
odor 
when concerned
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6
Q

what are some good things about regular gauze

A

readily available, many sizes, not much money.
non-occlusive and absorptive
can offer mechanical debridement
padding and can be cut to size.

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7
Q

what is tell

A

non-adherent, and little absorption, like the white part of the band aid

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8
Q

how often much you change gauze

A

every day

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9
Q

what are cautions around using gauze

A

drying, can absorb topical quickly, you can get fibers in the wound bed and you must apply roll gauze at an angle

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10
Q

what is impregnated gauze

A

it is adapted with petroleum or xeroform

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11
Q

what does impregnated gauze do

A

it has a atraumatic removal of the contact layer
can have many sizes
mild inclusiveness, and promotes moist healing
less permeable then regular

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12
Q

how long can you leave impregnated gauze

A

for several days

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13
Q

what does secondary impregnated gauze mean

A

that you need coverage over it because there is oil

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14
Q

what kinds of wounds is impregnated gauze usually used on

A

wounds with a lot of depth (and maybe to protect deeper named structures)

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15
Q

what are cautions with impregnated gauze

A

maceration, adherent if allowed to dry ( so can rip some skin off)

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16
Q

what is semipermeable film

A

thin and flexible and transparent and occlusive that is a barrier to the outside world

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17
Q

what kind of debridement does semipermeable film provide

A

autolytic

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18
Q

how long can you keep a semipermeable dressing on

A

7 days

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19
Q

is there a lot of a little absorption when you use a semipermeable film

A

little, unless combo with something else.

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20
Q

what kinds of wounds do you use a semipermeable dressing on

A

more superficial wounds.

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21
Q

does the semipermeable film feel comfortable, and how does it attach

A

yes, and to the peri-wound

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22
Q

what are cautions with semipermeable film

A 
limit the wrinkles
apply it with tension 
hard to apply 
not water proof 
must remove specifically (stretch skin and dressing perpendicular to not rip skin)
can damage skin when you remove it
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23
Q

what are hydrogels

A

they can donate moisture, and absorb a small amount if fluid

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24
Q

what kind of debridement can hydrogels promote

A

autolytic

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25
Q

TF; hydrogels can decrease pain

A

true

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26
Q

what is the benefit of silver gel

A

it is antimicrobial

27
Q

what do you get when you mix regular gauze, saline and hydrogel

A

moist dressing

28
Q

must into nu-gauze for easy…

A

wound filling

29
Q

can you use hydrogel as a primary dressing

A

no, needs to have another layer. it is secondary

30
Q

what are some precautions with hydrogels

A

maceration, and sheets cannot be used on infected wounds

31
Q

what are foam dressings

A

they are absorptive and can be used with most thicker topicals and ointments

32
Q

what type of debridement do they promote

A

autolytic

33
Q

describe the foam dressings

A

they are non-adherent, can be thick or thin and can add padding. they can also be used as a primary or secondary

34
Q

how long can you leave foam on

A

up to 7 days

35
Q

what are some cautions with foam

A

maceration and they can roll with friction

36
Q

what are hydrocolloids

A

highly occlusive and highly adhesive, that promote autolytic.

37
Q

what kind of hydrocolloid can be used for deeper wounds

A

paste

38
Q

are hydrocolloids usually used as a primary or secondary

A

primary

39
Q

what are some cautions with hydrocolloids

A

maceration
skin damage with removal
sheets are not for deep wounds
paste and particles will expand in deeper wounds
edges can roll with friction
linked with hyper granulation (skin growth above the wound opening)

40
Q

what is alginate

A

highly absorptive dressing that can hold drainage and absorbs vertically and laterally

41
Q

how can you use alginate in atraumatic removal, and what can happen

A

gel with absorption and you can trap bacteria

42
Q

TF: alginate can assist some with clotting

A

true

43
Q

how long can you leave alginate on

A

7 days

44
Q

is alginate occlusive? what does this mean

A

no, so no autolytic comments.

45
Q

what are some cautions with using alginate

A

maceration
not for highly draining wounds
wound desiccation
or the wound looks bad when wet

46
Q

what are some contraindications with alginate

A

not over named structures or on neonates less than 38 weeks gestation

47
Q

what is hydrofiber

A

highly absorptive that absorbs vertically.

48
Q

which is more absorptive alginate or hydrofiber

A

hydrofiber

49
Q

in what direction does hydrofiber absorb, and why does this mater

A

vertically, so less risk of maceration

50
Q

what is aquacel (Conva TEC)

A

a new wound ribbon dressing that has stitch bonding to increase strength

51
Q

when should you use an antimicrobial

A

with critical colonization, active infection, or a high risk of infection

52
Q

when should you stop using antimicrobials

A

clean wounds, or epithelializing/granulating
when the risk is removed
short term dressings, so know when to stop and why you are using it

53
Q

what are examples of antimicrobials

A

honey
silver
cadexomer iodine.

54
Q

what is cadexomer iodine

A

a brand spectrum antimicrobial that has slow release of iodine and non-cytotoxic. turns white with absorption and can be cheaper than others. it can also stain the skin

55
Q

can you combo cadexomer iodine with collagenase

A

no

56
Q

what are some cautions with cadexomer iodine

A

allergy to iodine or shellfish
pregnant or breast feeding
younger than 6 months
prolonged use (HYPERTHYROIDISM)

57
Q

what can prolonged use of cadexomer iodine cause

A

hyperthyroidism and cytotoxicity

58
Q

what are contraindications of cadexomer iodine

A

thyroid disease, and deep wound cavities

59
Q

what is silver

A

brand spectrum, in many forms like power, gel, alginate, hydrocolloids, foam, sheets and creams. can wear it daily to 7 days.

60
Q

can you combine silver with collagenase

A

no

61
Q

what are cautions to silver

A

toxicity with prolonged use
allergy
irrigate with sterile water
watch newborns, infants and young

62
Q

what is honey

A

broad spectrum that can reduce odor and pain, and is anti-inflammatory and non toxic

63
Q

what kind of debridement does honey promote

A

autolytic and it assists with the breakdown of nonviable tissue

64
Q

what are cautions and contraindications to honey

A

cautions: initial stinging
contraindications: allergies to bees or honey

Integumentary Care (26 decks)

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